Ethical aspects of human biobanks: a systematic review

Aim To systematically assess the existing literature on ethical aspects of human biobanks. Method We searched the Web of Science and PubMed databases to find studies addressing ethical problems in biobanks with no limits set (study design, study population, time period, or language of publication). All identified articles published until November 2010 were included. We analyzed the type of published articles, journals publishing them, involvement of countries/institutions, year of publication, and citations received, and qualitatively assessed every article in order to identify ethical issues addressed by the majority of published research on human biobanking. Results Hundred and fifty four studies satisfied our review criteria. The studies mainly came from highly developed countries and were all published in the last two decades, with over half of them published in 2009 or 2010. They most commonly discussed the informed consent, privacy and identifiability, return of results to participants, importance of public trust, involvement of children, commercialization, the role of ethics boards, international data exchange, ownership of samples, and benefit sharing. Conclusions The focus on ethical aspects is strongly present through the whole biobanking research field. Although there is a consensus on the old and most typical ethical issues, with further development of the field and increasingly complex structure of human biobanks, these issues will likely continue to arise and accumulate, hence requiring constant re-appraisal and continuing discussion.

[1]  C. Laymon A. study , 2018, Predication and Ontology.

[2]  B. McNamara,et al.  Reconsidering the Value of Consent in Biobank Research , 2011, Bioethics.

[3]  I. Kerridge,et al.  Cancer as Rubbish: Donation of Tumor Tissue for Research , 2011, Qualitative health research.

[4]  Joakim Dillner,et al.  Biobanks collected for routine healthcare purposes: build-up and use for epidemiologic research. , 2011, Methods in molecular biology.

[5]  D. Chalmers Genetic research and biobanks. , 2011, Methods in molecular biology.

[6]  M. Hansson The need to downregulate: a minimal ethical framework for biobank research. , 2011, Methods in molecular biology.

[7]  J. Dillner,et al.  Cervical cytology biobanks as a resource for molecular epidemiology. , 2011, Methods in molecular biology.

[8]  J. Sak,et al.  The analysis of the ethical, organizational and legal aspects of Polish biobanks activity. , 2010, European journal of public health.

[9]  J. Cassiman,et al.  The return of individual research findings in paediatric genetic research , 2010, Journal of Medical Ethics.

[10]  T. Rafnar,et al.  Hypothetical and factual willingness to participate in biobank research , 2010, European Journal of Human Genetics.

[11]  K. Weinfurt,et al.  Developing a Simplified Consent Form for Biobanking , 2010, PloS one.

[12]  G. Annas,et al.  Gift Giving to Biobanks , 2010, The American journal of bioethics : AJOB.

[13]  R. Mitchell Blood banks, biobanks, and the ethics of donation , 2010, Transfusion.

[14]  E. Kay,et al.  Integrating biobanks: addressing the practical and ethical issues to deliver a valuable tool for cancer research , 2010, Nature Reviews Cancer.

[15]  K. Weinfurt,et al.  Simplifying informed consent for biorepositories: Stakeholder perspectives , 2010, Genetics in Medicine.

[16]  A. Hawkins,et al.  Biobanks: Importance, Implications and Opportunities for Genetic Counselors , 2010, Journal of Genetic Counseling.

[17]  B. Akolkar,et al.  Biobanking, consent, and commercialization in international genetics research: the Type 1 Diabetes Genetics Consortium , 2010, Clinical trials.

[18]  B. Godard,et al.  Ethnocultural community leaders’ views and perceptions on biobanks and population specific genomic research: a qualitative research study , 2010, Public understanding of science.

[19]  D. Shickle,et al.  Inter- and Intra-Biobank Networks: Classification of Biobanks , 2010, Pathobiology.

[20]  Bert Aertgeerts,et al.  The use of human tissue in epidemiological research; ethical and legal considerations in two biobanks in Belgium , 2010, Medicine, health care, and philosophy.

[21]  D. Cooper,et al.  Legal and ethical consequences of international biobanking from a national perspective: the German BMB-EUCoop project , 2010, European Journal of Human Genetics.

[22]  K. O’Doherty,et al.  Structuring Public Engagement for Effective Input in Policy Development on Human Tissue Biobanking , 2010, Public Health Genomics.

[23]  B. Knoppers,et al.  Retrospective access to data: the ENGAGE consent experience , 2010, European Journal of Human Genetics.

[24]  Karen Pitt,et al.  Custodianship as an Ethical Framework for Biospecimen-Based Research , 2010, Cancer Epidemiology, Biomarkers & Prevention.

[25]  M. Burgess,et al.  Recruiting for representation in public deliberation on the ethics of biobanks , 2010, Public understanding of science.

[26]  D. Levenson When should pediatric biobanks share data? , 2010, American journal of medical genetics. Part A.

[27]  E. Clayton,et al.  Principles of Human Subjects Protections Applied in an Opt‐Out, De‐identified Biobank , 2010, Clinical and translational science.

[28]  Y. Forsell,et al.  Examining the public refusal to consent to DNA biobanking: empirical data from a Swedish population-based study , 2010, Journal of Medical Ethics.

[29]  P. Mitchell,et al.  The Stewardship Model: Current Viability for Genetic Biobank Practice Development , 2010, ANS. Advances in nursing science.

[30]  Sujin Kim,et al.  A Study of Bioethical Knowledge and Perceptions in Korea , 2009, Bioethics.

[31]  L. Kiemeney,et al.  [Dutch government invests in existing biobanks]. , 2010, Nederlands tijdschrift voor geneeskunde.

[32]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. , 2010, International journal of surgery.

[33]  Carlo Petrini,et al.  "Broad" consent, exceptions to consent and the question of using biological samples for research purposes different from the initial collection purpose. , 2010, Social science & medicine.

[34]  Stefan Eriksson,et al.  Changing defaults in biobank research could save lives too , 2010, European Journal of Epidemiology.

[35]  G. Geller,et al.  Public perspectives on informed consent for biobanking. , 2009, American journal of public health.

[36]  Stefan Eriksson,et al.  Changing perspectives in biobank research: from individual rights to concerns about public health regarding the return of results , 2009, European Journal of Human Genetics.

[37]  K. Hoeyer Donors Perceptions of Consent to and Feedback from Biobank Research: Time to Acknowledge Diversity? , 2009, Public Health Genomics.

[38]  G. Laurie Role of the UK Biobank Ethics and Governance Council , 2009, The Lancet.

[39]  Joan Scott,et al.  Public opinion about the importance of privacy in biobank research. , 2009, American journal of human genetics.

[40]  K. Dierickx,et al.  Biobanks: oversight offers protection. , 2009, Science.

[41]  E. Clayton,et al.  Biobanks: too long to wait for consent. , 2009, Science.

[42]  K. Maschke,et al.  Biobanks: questioning distinctions. , 2009, Science.

[43]  A. Davidson,et al.  Ethics and medical research in children , 2009, Paediatric anaesthesia.

[44]  J. Cassiman,et al.  Genetic research on stored tissue samples from minors: A systematic review of the ethical literature , 2009, American journal of medical genetics. Part A.

[45]  G. Church,et al.  Public Access to Genome-Wide Data: Five Views on Balancing Research with Privacy and Protection , 2009, PLoS genetics.

[46]  A. Vickers,et al.  Empirical Study of Data Sharing by Authors Publishing in PLoS Journals , 2009, PloS one.

[47]  Oliver F Bathe,et al.  The ethical use of existing samples for genome research , 2009, Genetics in Medicine.

[48]  J. Robienski,et al.  Chapitre 2. Property, Personality Rights and Data Protection with regard to Biobanks – a layered system , 2009 .

[49]  Virginie Commin Legal issues surrounding French research-focused biobanks. , 2009, Journal international de bioethique = International journal of bioethics.

[50]  J. Robienski,et al.  Framework for setting up and operating biobanks. , 2009, Journal international de bioethique = International journal of bioethics.

[51]  C. Petrini A bibliography concerning informed consent and biobanking: documents from national and international bodies. , 2009, Journal international de bioethique = International journal of bioethics.

[52]  J. Robienski,et al.  Property, personality rights and data protection with regard to biobanks--a layered system. , 2009, Journal international de bioethique = International journal of bioethics.

[53]  S. O’Brien Stewardship of human biospecimens, DNA, genotype, and clinical data in the GWAS era. , 2009, Annual review of genomics and human genetics.

[54]  J. Cassiman,et al.  Biological sample collections from minors for genetic research: a systematic review of guidelines and position papers , 2009, European Journal of Human Genetics.

[55]  I. Kerridge,et al.  An empirical reappraisal of public trust in biobanking research: rethinking restrictive consent requirements. , 2009, Journal of law and medicine.

[56]  D. Paci,et al.  Data protection in biobanks--a European challenge for the long-term sustainability of biobanking. , 2009, Revista de derecho y genoma humano = Law and the human genome review.

[57]  D. Deplanque,et al.  Collections of human biological samples for scientific purposes. Why do current regulation need to be clarified and how? , 2009, Therapie.

[58]  L. Nisticò,et al.  Research understanding, attitude and awareness towards biobanking: a survey among Italian twin participants to a genetic epidemiological study , 2009, BMC medical ethics.

[59]  A. Mauron,et al.  Ethical Norms and the International Governance of Genetic Databases and Biobanks: Findings from an International Study , 2009, Kennedy Institute of Ethics journal.

[60]  S. Niemeyer,et al.  Informed consent in biobank research: a deliberative approach to the debate. , 2009, Social science & medicine.

[61]  Wendy A. Wolf,et al.  Assessing the understanding of biobank participants , 2009, American journal of medical genetics. Part A.

[62]  Y. Joly,et al.  Researchers’ Perceptions of the Ethical Implications of Pharmacogenomics Research with Children , 2009, Public Health Genomics.

[63]  Katriina Aalto-Setälä,et al.  Obtaining Consent for Future Research with Induced Pluripotent Cells: Opportunities and Challenges , 2009, PLoS biology.

[64]  B Hofmann,et al.  Broadening consent—and diluting ethics? , 2009, Journal of Medical Ethics.

[65]  A. Doney,et al.  Public attitudes to the storage of blood left over from routine general practice tests and its use in research , 2009, Journal of health services research & policy.

[66]  J. Lefrère,et al.  [Biobanks and blood transfusion in France: a tool for public health]. , 2009, Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine.

[67]  J. Bovenberg,et al.  Biobank research: reporting results to individual participants. , 2009, European journal of health law.

[68]  Chris Womack,et al.  Banking human tissue for research: vision to reality , 2009, Cell and Tissue Banking.

[69]  J. Ioannidis,et al.  Strengthening the reporting of genetic association studies (STREGA): an extension of the STROBE statement , 2009, European Journal of Epidemiology.

[70]  Gail Geller,et al.  Public Expectations for Return of Results from Large-Cohort Genetic Research , 2008, The American journal of bioethics : AJOB.

[71]  K. Brazil,et al.  Who's minding the shop? The role of Canadian research ethics boards in the creation and uses of registries and biobanks , 2008, BMC medical ethics.

[72]  M. Burgess,et al.  Engaging the Public on Biobanks: Outcomes of the BC Biobank Deliberation , 2008, Public Health Genomics.

[73]  L. Ursin Biobank research and the right to privacy , 2008, Theoretical medicine and bioethics.

[74]  J. Seoane,et al.  Alternative Consent Models for Biobanks: The New Spanish Law on Biomedical Research , 2008, Bioethics.

[75]  D. Roden,et al.  Development of a Large‐Scale De‐Identified DNA Biobank to Enable Personalized Medicine , 2008, Clinical pharmacology and therapeutics.

[76]  G. Laurie Evidence of support for biobanking practices , 2008, BMJ : British Medical Journal.

[77]  Stefan Eriksson,et al.  Patients’ refusal to consent to storage and use of samples in Swedish biobanks: cross sectional study , 2008, BMJ : British Medical Journal.

[78]  Jane Kaye,et al.  Sample, data use and protection in biobanking in Europe: legal issues. , 2008, Pharmacogenomics.

[79]  Federica Artizzu The informed consent aftermath of the genetic revolution. An Italian example of implementation , 2008, Medicine, health care, and philosophy.

[80]  S. Trent Rosenbloom,et al.  Research Paper: US and Scottish Health Professionals' Attitudes toward DNA Biobanking , 2008, J. Am. Medical Informatics Assoc..

[81]  A. Cavusoglu,et al.  A pilot study for human tumor/DNA banking: returned more questions than answers , 2008, Medical oncology.

[82]  P. Borry,et al.  A proposal for a model of informed consent for the collection, storage and use of biological materials for research purposes. , 2008, Patient education and counseling.

[83]  Lucilla Lecchi,et al.  Banking together , 2008, EMBO reports.

[84]  Eric M Meslin,et al.  Research Ethics Recommendations for Whole-Genome Research: Consensus Statement , 2008, PLoS biology.

[85]  G. Geller,et al.  Ethical implications of including children in a large biobank for genetic‐epidemiologic research: A qualitative study of public opinion , 2008, American journal of medical genetics. Part C, Seminars in medical genetics.

[86]  L. Ross Ethical and policy issues in pediatric genetics , 2008, American journal of medical genetics. Part C, Seminars in medical genetics.

[87]  L. Ross,et al.  Empirical data about women's attitudes toward a biobank focused on pregnancy outcomes , 2008, American journal of medical genetics. Part A.

[88]  L. Ross,et al.  Empirical data about women's attitudes towards a hypothetical pediatric biobank , 2008, American journal of medical genetics. Part A.

[89]  Jan-Eric Litton,et al.  Biobanking for Europe , 2007, Briefings Bioinform..

[90]  Susanne B Haga,et al.  Ethical, legal, and social implications of biobanks for genetics research. , 2008, Advances in genetics.

[91]  R. Gertz Withdrawing from participating in a biobank--a comparative study. , 2008, European journal of health law.

[92]  Herman Nys,et al.  The regulation of biobanks in Spain. , 2008, Revista de derecho y genoma humano = Law and the human genome review.

[93]  J. Wyatt,et al.  US and Scottish Health Professionals attitudes toward DNA biobanking. , 2007, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[94]  H. Greely The uneasy ethical and legal underpinnings of large-scale genomic biobanks. , 2007, Annual review of genomics and human genetics.

[95]  E. Engels Biobanks as basis for personalised nutrition? Mapping the ethical issues , 2007, Genes & Nutrition.

[96]  M. Hansson For the Safety and Benefit of Current and Future Patients , 2007, Pathobiology.

[97]  B. Knoppers,et al.  Trends in ethical and legal frameworks for the use of human biobanks , 2007, European Respiratory Journal.

[98]  D. Winickoff Partnership in U.K. Biobank: A Third Way for Genomic Property? , 2007, Journal of Law, Medicine & Ethics.

[99]  D. Hougaard,et al.  Storage policies and use of the Danish Newborn Screening Biobank , 2007, Journal of Inherited Metabolic Disease.

[100]  B. Heinrichs A comparative analysis of selected European guidelines and recommendations for biobanks with special regard to the research / non-research distinction. , 2007, Revista de derecho y genoma humano = Law and the human genome review.

[101]  L. Knudsen,et al.  Ethics in studies on children and environmental health , 2007, Journal of Medical Ethics.

[102]  V. Wiwanitkit Ethical concerns on the use of laboratory waste. , 2007, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[103]  C. Auray-Blais,et al.  Biobanking Primer: Down to Basics , 2007, Science.

[104]  D. Cooper,et al.  A legal framework for biobanking: the German experience , 2007, European Journal of Human Genetics.

[105]  L. Ring,et al.  Perceptions of potential donors in the Swedish public towards information and consent procedures in relation to use of human tissue samples in biobanks: A population-based study , 2007, Scandinavian journal of public health.

[106]  Helen Swede,et al.  National population-based biobanks for genetic research , 2007, Genetics in Medicine.

[107]  J. Kaye,et al.  Governing Genetic Databases: Collection, Storage and Use , 2007, King's law journal : KLJ.

[108]  P. Bencsik,et al.  Establishing a neurological-psychiatric biobank: banking, informatics, ethics. , 2006, Cellular immunology.

[109]  A. L. Bosch,et al.  TuBaFrost 3: regulatory and ethical issues on the exchange of residual tissue for research across Europe. , 2006, European journal of cancer.

[110]  M. Hansson Combining efficiency and concerns about integrity when using human biobanks. , 2006, Studies in history and philosophy of biological and biomedical sciences.

[111]  D. Shickle The consent problem within DNA biobanks. , 2006, Studies in history and philosophy of biological and biomedical sciences.

[112]  K. Hoeyer The power of ethics: a case study from Sweden on the social life of moral concerns in policy processes. , 2006, Sociology of health & illness.

[113]  L. Ring,et al.  Genetic research and donation of tissue samples to biobanks. What do potential sample donors in the Swedish general public think? , 2006, European journal of public health.

[114]  R. Andorno [Population bio-banks: a juridical analysis based on Icelandic and Estonian experience]. , 2006, Revista de derecho y genoma humano = Law and the human genome review.

[115]  B. Elger,et al.  Consent and anonymization in research involving biobanks , 2006, EMBO reports.

[116]  J. Kaiser U.S. Hospital Launches Large Biobank of Children's DNA , 2006, Science.

[117]  H. Rose From Hype to Mothballs in Four Years: Troubles in the Development of Large-Scale DNA Biobanks in Europe , 2006, Public Health Genomics.

[118]  B. Knoppers,et al.  Pharmacogenomic data sample collection and storage: ethical issues and policy approaches. , 2006, Pharmacogenomics.

[119]  Joakim Dillner,et al.  Should donors be allowed to give broad consent to future biobank research? , 2006, The Lancet. Oncology.

[120]  K. Maschke,et al.  Alternative consent approaches for biobank research. , 2006, The Lancet. Oncology.

[121]  N. Duchange,et al.  Evaluation of biobank constitution and use: multicentre analysis in France and propositions for formalising the activities of research ethics committees. , 2006, European journal of medical genetics.

[122]  P. Klepstad,et al.  [Biobank legislation stops research using critically ill patients]. , 2005, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[123]  S. Eriksson,et al.  Potential harms, anonymization, and the right to withdraw consent to biobank research , 2005, European Journal of Human Genetics.

[124]  M. Hansson,et al.  Building on relationships of trust in biobank research , 2005, Journal of Medical Ethics.

[125]  C. Sallée,et al.  Accountability in Population Biobanking: Comparative Approaches , 2005, Journal of Law, Medicine & Ethics.

[126]  M. Rothstein Expanding the Ethical Analysis of Biobanks , 2005, Journal of Law, Medicine & Ethics.

[127]  Bartha Maria Knoppers,et al.  Biobanking: International Norms , 2005, Journal of Law, Medicine & Ethics.

[128]  E. Clayton Informed Consent and Biobanks , 2005, Journal of Law, Medicine & Ethics.

[129]  L. Andrews Harnessing the Benefits of Biobanks , 2005, Journal of Law, Medicine & Ethics.

[130]  K. Hoeyer,et al.  The ethics of research using biobanks: reason to question the importance attributed to informed consent. , 2005, Archives of internal medicine.

[131]  G. Helgesson,et al.  The Right to Withdraw Consent to Research on Biobank Samples , 2005, Medicine, health care, and philosophy.

[132]  Amelia Martín Uranga,et al.  Outstanding ethical-legal issues on biobanks. An overview on the regulations of the Member States of the Eurobiobank project. , 2005, Revista de derecho y genoma humano = Law and the human genome review.

[133]  Anne Cambon-Thomsen,et al.  The social and ethical issues of post-genomic human biobanks , 2004, Nature Reviews Genetics.

[134]  B. Knoppers Biobanks: simplifying consent. , 2004, Nature reviews. Genetics.

[135]  J. Kaye,et al.  Governing UK Biobank: the importance of ensuring public trust. , 2004, Trends in biotechnology.

[136]  K. Hoeyer,et al.  Informed consent and biobanks: a population-based study of attitudes towards tissue donation for genetic research , 2004, Scandinavian journal of public health.

[137]  N. Duchange,et al.  Study of the involvement of research ethics committees in the constitution and use of biobanks in France. , 2004, Pharmacogenetics.

[138]  D. Schroeder,et al.  Human genetic banking: altruism, benefit and consent , 2004, New genetics and society.

[139]  J. Otten,et al.  The charitable trust as a model for genomic biobanks. , 2004, The New England journal of medicine.

[140]  A. Cambon-Thomsen,et al.  Biobanks for Genomics and Genomics for Biobanks , 2003, Comparative and functional genomics.

[141]  D. Winickoff,et al.  The charitable trust as a model for genomic biobanks. , 2003, The New England journal of medicine.

[142]  Anne Cambon-Thomsen,et al.  An empirical survey on biobanking of human genetic material and data in six EU countries , 2003, European Journal of Human Genetics.

[143]  Virginia Barbour,et al.  UK Biobank: a project in search of a protocol? , 2003, The Lancet.

[144]  Melissa A. Austin,et al.  Genebanks: A Comparison of Eight Proposed International Genetic Databases , 2003, Public Health Genomics.

[145]  K. Hoeyer ‘Science is really needed—that’s all I know': informed consent and the non-verbal practices of collecting blood for genetic research in northern Sweden , 2003, New genetics and society.

[146]  S. Eriksson [Biobanks and the new law. Renew informed consent with moderation for tests which are to be used for new purposes]. , 2003, Lakartidningen.

[147]  Jocelyn Kaiser,et al.  Population Databases Boom, From Iceland to the U.S. , 2002, Science.

[148]  J. Dillner [The new biobank law accepted: a unique chance of improvement]. , 2002, Lakartidningen.

[149]  J. Ludvigsson,et al.  Attitudes to bioethical issues: a case study of a screening project. , 2002, Social science & medicine.

[150]  M R Anderlik,et al.  Privacy and confidentiality of genetic information: what rules for the new science? , 2001, Annual review of genomics and human genetics.

[151]  D. Winickoff Biosamples, genomics, and human rights: context and content of Iceland's Biobanks Act. , 2001, The journal of biolaw & business.

[152]  Kári Stefánsson,et al.  Protection of privacy by third-party encryption in genetic research in Iceland , 2000, European Journal of Human Genetics.

[153]  B. No̸rgaard-Pedersen,et al.  Biological specimen banks in neonatal screening , 1999, Acta paediatrica (Oslo, Norway : 1992). Supplement.

[154]  A. Abbott Sweden sets ethical standards for use of genetic ‘biobanks’ , 1999, Nature.